Individual provider Active NPI

Meryl Sundy, MD

  • Ophthalmology Physician
  • Bend, OR
National Provider Identifier
1487073573
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD188464 Issued in OR
Practice address
2450 NE Mary Rose PL Ste 110
Bend, OR 97701-7132
Phone
(541) 318-8388
Fax
(541) 318-7145
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD188464 OR Primary

Addresses

Primary practice location

2450 NE Mary Rose PL Ste 110
Bend, OR 97701-7132

Mailing address

2450 NE Mary Rose PL Ste 110
Bend, OR 97701-7132
Phone (541) 318-8388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180822001154 OR Practitioner - Ophthalmology 7618284357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Columbia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infocus Eye Care LLCGroup PAC ID 2365436755, 7 clinicians

Practice addresses (Care Compare)

2450 NE Mary Rose PL
Suite 110
Bend, OR 97701-7132
Phone (541) 318-8388

Hospital & facility affiliations

  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD188464ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infocus Eye Care LLC Ophthalmology CurrentSince Aug 1, 2018 Accepting new patients

Locations

2450 NE Mary Rose Pl
Ste 110
Bend, OR 97701
Phone (541) 318-8388

Interoperability endpoints

  • Direct secure messaging: gferzli@directaddress.net
  • Direct secure messaging: msundy@directaddress.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1487073573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 NE MARY ROSE PL STE 110",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017132",
            "telephone_number": "541-318-8388",
            "fax_number": "541-318-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 NE MARY ROSE PL STE 110",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017132",
            "telephone_number": "541-318-8388",
            "fax_number": "541-318-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDY",
        "first_name": "MERYL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD188464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.